UNIVERSITI KUALA LUMPUR

Document No: UniKL MFI_SD_AC73

Revision No: 04
MALAYSIA FRANCE INSTITUTE Effective Date: 27 April 2022
Justification of Absenteeism Form

STUDENT’S NAME : _________________________________________________________________

STUDENT ID : ___________________________
A
WARNING LETTER REF NO : ___________________________________________________________
SUBJECT NAME : ____________________________________________________________________
SUBJECT CODE : _____________________________________________________________________
GROUP : _______________________________
SUBJECT LECTURER’S NAME : __________________________________________________________
DATE/S OF ABSENCE : ________________________________________________________________

JUSTIFICATION : (if medical reason, please attach a medical certificate)

Student’s Signature,

_________________________
(Date : )
__________________________________________________________________________________________
Please tick the appropriate box*  Proposed to immediately done in the system
* COMMENT & ACTION BY SUBJECT LECTURER B
Justification Acceptable
Change Status from Absence to Leave/ Medical Leave
Inaccurate record
(ex : wrongly generated session, student changed group without informing, attend but did not sign attendance form, etc)
Record amended in system
Justification NOT acceptable
Absence status remains
Reason for not accepting the justification :

Subject Lecturer’s Signature & Stamp,

1) Student to complete Part A then submit to Subject Lecturer
_______________________________ 2) Subject Lecturer to complete Part B and return to student
3) Student to keep this form as a self-record
(Date: )